How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $660.69 | Professional | None | $588.84 | $588.84 | $660.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $630.96 Median $707.95 Typical High $1,071.52 | Facility | None | $630.96 | $707.95 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $724.44 | Professional | None | $575.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,398.83 Typical High $6,165.95 | Facility | None | $446.68 | $2,398.83 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,047.13 | Professional | None | $812.83 | $870.96 | $1,047.13 |
Health Partners Setting Facility Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $5,754.40 | Facility | None | $1,548.82 | $2,454.71 | $5,754.40 |
Health Partners Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $741.31 Typical High $3,715.35 | Facility | None | $323.59 | $741.31 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $524.81 Typical High $4,677.35 | Professional | None | $281.84 | $524.81 | $4,677.35 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $954.99 | Facility | None | $467.74 | $467.74 | $954.99 |
United Setting Professional Modifier None Typical Low $234.42 Median $416.87 Typical High $724.44 | Professional | None | $234.42 | $416.87 | $724.44 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 55 · Aftercare only | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 56 · Pre-op care only | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $323.59 | Professional | 52 · Reduced service | $295.12 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | 53 · Discontinued | $117.49 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $97.72 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $66.07 |
Where Minnesota sits
The same service costs 2.8 times more in Iowa than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 11th of 51
$708
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.